Provider Demographics
NPI:1588625545
Name:OLIVERO, HERMINIO J (MD)
Entity Type:Individual
Prefix:
First Name:HERMINIO
Middle Name:J
Last Name:OLIVERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PMB 133
Mailing Address - Street 2:RD19 #1353
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2700
Mailing Address - Country:US
Mailing Address - Phone:787-767-2069
Mailing Address - Fax:787-274-1631
Practice Address - Street 1:AVE PONCE DE LEON 431
Practice Address - Street 2:NATIONAL PLAZA SUIT 1503
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-767-2069
Practice Address - Fax:787-274-1631
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2013-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13385207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H82232Medicare UPIN
20231Medicare ID - Type Unspecified